Victoria Heutmaker, CB61101411

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB61101411 Issued in WA

Practice address

707 W 7TH Ave Ste 200
Spokane, WA 99204-2833

Phone

(509) 850-1080

NPI assigned

Oct 6, 2020

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pennyfarthing Applied Behavior Analysis

  • Behavior Technician
  • Spokane, WA
  • NPI 1457021867
  NPD
• Pennyfarthing LLC

  dba Pennyfarthing Applied Behavior Analysis

  • Behavior Analyst
  • Spokane, WA
  • NPI 1003324666

  Behavior Technician

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1174120786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W 7TH AVE STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042833",
            "telephone_number": "509-850-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W 7TH AVE STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042833",
            "telephone_number": "509-850-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUTMAKER",
        "first_name": "VICTORIA",
        "credential": "CB61101411",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61101411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Hetherington
• Rebekah Hetherington
• Gabriel Paul Hetrick, RDH
• John Heusner, MD
• Judith A Heusner, MD
• Mary Susan Hewankorn, RN
• Bernard D Hewey
• Tina Marie Heyer, LMP
• Aleksander Heyfetz, PHARMD
• Jackie Elizabeth Heyn

• Behavior Technician in Spokane, WA
• Providers in Spokane, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.